CMS Price Transparency Data

Electrocardiogram (EKG, tracing only)

Facility: Centerpoint Medical Center

Billing Code: 93005 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93005
Insurance Median: $470
Cash Discount Price: $1,577
vs. Medicare Baseline: 7.80x Medicare

The contracted insurance negotiated median rate for a Electrocardiogram (EKG, tracing only) at Centerpoint Medical Center is $470. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,577. Compared to the federal Medicare reimbursement reference rate of $60.27, this hospital’s rate is 7.80x the Medicare baseline. Located in 19600 East 39Th Street, Independence, MO.

Cash / Self-Pay

$1,577

Average discount available for prompt cash payment at this facility.

Insurance Median

$470

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$60.27

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $60.27 (100%)

Cash / Self-Pay: $1,577 (2617%)

Insurance Median: $470 (780%)

Cash: $1,577 (2617% of Medicare)

Ins. Median: $470 (780% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $60.27 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 780% of the Medicare baseline (a markup of 680%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance Rate (%)

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group	Contract Rate Range	vs. Medicare Reference
Healthyblue	$21	35%
Medicaid / KanCare	$21	35%
United	$21 - $716	35%
Amerigroup	$22	37%
Home State Health Plan	$22	37%
Unicare	$22	37%
Blue Cross Blue Shield	$186 - $732	309%
Ambetter / Centene	$266 - $296	441%
Nhc Advantage	$271 - $302	450%
Oscar	$271 - $302	450%
Wppa Providrs Care Network	$286 - $318	475%
Humana	$301 - $422	499%
Aetna	$314 - $640	521%
Cigna	$354 - $1,273	587%
Universal Healthcare	$500 - $557	830%
Coventry	$574 - $640	952%
Coventry Kc Mo	$586 - $653	972%
College Park Family Care Center	$614 - $684	1019%
Oha Network	$714 - $796	1185%
Multiplan	$757 - $1,273	1256%
Corvel Corporation	$929 - $1,035	1541%
Global Sports Services	$1,143 - $1,273	1896%
Cco, Inc.	$1,214 - $1,353	2014%
Focus Healthcare Mgmt, Inc	$1,286 - $1,433	2134%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $1,577.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 93005.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Centerpoint Medical Center is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 93005.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.